Exploration of Implementation for Countermeasures Against Tuberculosis in Tabanan District: A Qualitative Study
DOI:
10.29303/jppipa.v9i10.4652Published:
2023-10-25Downloads
Abstract
The achievement target for accelerating TB control in Bali Province and Tabanan Regency has not shown results that meet the target, which can have negative impacts in the form of delays in diagnosis and death in sufferers. This study aims to explore the implementation of tuberculosis control in Tabanan district, Bali Province. The study used a qualitative approach with in-depth interviews and focus group discussions (FGD) with regulators, program implementers, and other stakeholders, with a total of 25 respondents. The result of this study demonstrates that the integration of tuberculosis prevention implementation recommendations from the center to the Tabanan Regency Public Health Center is well established. The local government has allocated funds based on the number of tuberculosis elimination targets achieved in each health center. However, there was a misalignment between the guidelines and their execution in the Public Health Center. This is due to the lack of regional regulations that precisely outline the initiatives described in the center's guidelines. If this trend continues, tuberculosis control efforts will not be as effective as hoped. As a result, complete support is expected due to strong and explicit policies, as well as cross-sector cooperation, to ensure the program's success.
Keywords:
Health Policy TBC Control TuberculosisReferences
Apriani, L., McAllister, S., Sharples, K., Nurhasanah, H., Aini, I. N., Susilawati, N., Ruslami, R., Alisjahbana, B., Menzies, D., & Hill, P. C. (2021). Tuberculosis infection control measures and knowledge in primary health centres in Bandung, Indonesia. Journal of Infection Prevention, 23(2), 49–58. https://doi.org/10.1177/17571774211046880
Asri, Mundakir, Yang, Y.-M., Priyanti, R. P., & Lee, B.-O. (2022). Experiences with Tuberculosis Management among Community-Based Care Providers in Indonesia: A Qualitative Study. Journal of Community Health Nursing, 39(4), 227–237. https://doi.org/10.1080/07370016.2022.2083915
Bhat, J., Sharma, R. K., Yadav, R., Mishra, P., Nigam, S., Lingala, M. A., & Rao, V. G. (2022). Persistent high prevalence of pulmonary tuberculosis in a resource-limited setting: threat to India’s TB Free campaign. Transactions of The Royal Society of Tropical Medicine and Hygiene, 116(6), 564–570. https://doi.org/10.1093/trstmh/trab181
Caren, G. J., Iskandar, D., Pitaloka, D. A. E., Abdulah, R., & Suwantika, A. A. (2022). COVID-19 Pandemic Disruption on the Management of Tuberculosis Treatment in Indonesia. Journal of Multidisciplinary Healthcare, 15, 175–183. https://doi.org/10.2147/JMDH.S341130
Chakaya, J., Khan, M., Ntoumi, F., Aklillu, E., Fatima, R., Mwaba, P., Kapata, N., Mfinanga, S., Hasnain, S. E., & Katoto, P. D. M. C. (2021). Global Tuberculosis Report 2020–Reflections on the Global TB burden, treatment and prevention efforts. International Journal of Infectious Diseases, 113, S7–S12. https://doi.org/10.1016/j.ijid.2021.02.107
Dlatu, N., Oladimeji, K. E., & Apalata, T. (2023). Voices from the Patients: A Qualitative Study of the Integration of Tuberculosis, Human Immunodeficiency Virus and Primary Healthcare Services in O.R. Tambo District, Eastern Cape, South Africa. Infectious Disease Reports, 15(2), 158–170. https://doi.org/10.3390/idr15020017
Fahrudda, A., Handoko, R., & Widodo, J. (2021). Public Private Mix Partnership Model Development Tuberculosis Management Services as an Effort to Accelerate Tuberculosis Elimination in Pasuruan City. Journal of Public Policy and Administration, 5(3), 97. https://doi.org/10.11648/j.jppa.20210503.15
Ggita, J. M., Ojok, C., Meyer, A. J., Farr, K., Shete, P. B., Ochom, E., Turimumahoro, P., Babirye, D., Mark, D., & Dowdy, D. (2018). Patterns of usage and preferences of users for tuberculosis-related text messages and voice calls in Uganda. The International Journal of Tuberculosis and Lung Disease, 22(5), 530–536. https://doi.org/10.5588/ijtld.17.0521
Harding, E. (2020). WHO global progress report on tuberculosis elimination. The Lancet Respiratory Medicine, 8(1), 19. https://doi.org/10.1016/S2213-2600(19)30418-7
Iswandari, H. D., Sugiharto, S., & Harsono, H. (2023). The evaluation of pulmonary tuberculosis (TB) control program at Bandarharjo Community Health Center Semarang city in 2021. AIP Conference Proceedings, 2683(1), 040003. https://doi.org/10.1063/5.0124905
Kabwama, S. N., Wanyenze, R. K., Kiwanuka, S. N., Namale, A., Ndejjo, R., Monje, F., Wang, W., Lazenby, S., Kizito, S., Troeger, C., Liu, A., Lindgren, H., Razaz, N., Ssenkusu, J., Sambisa, W., Bartlein, R., & Alfvén, T. (2022). Interventions for Maintenance of Essential Health Service Delivery during the COVID-19 Response in Uganda, between March 2020 and April 2021. International Journal of Environmental Research and Public Health, 19(19). https://doi.org/10.3390/ijerph191912522
Kak, N., Chakraborty, K., Sadaphal, S., AlMossawi, H. J., Calnan, M., & Vikarunnessa, B. (2020). Strategic priorities for TB control in Bangladesh, Indonesia, and the Philippines – comparative analysis of national TB prevalence surveys. BMC Public Health, 20(1), 560. https://doi.org/10.1186/s12889-020-08675-9
Kanchar, A., & Swaminathan, S. (2019). Tuberculosis Control: WHO Perspective and Guidelines. The Indian Journal of Pediatrics, 86(8), 703–706. https://doi.org/10.1007/s12098-019-02989-2
Lestari, T., Fuady, A., Yani, F. F., Putra, I. W. G. A. E., Pradipta, I. S., Chaidir, L., Handayani, D., Fitriangga, A., Loprang, M. R., Pambudi, I., Ruslami, R., & Probandari, A. (2023). The development of the national tuberculosis research priority in Indonesia: A comprehensive mixed-method approach. PLOS ONE, 18(2), e0281591-. https://doi.org/10.1371/journal.pone.0281591
Main, S., Lestari, T., Triasih, R., Chan, G., Davidson, L., Majumdar, S., Santoso, D., Phung, S., Laukkala, J., & Graham, S. (2019). Training for tuberculosis elimination in Indonesia: Achievements, reflections, and potential for impact. Tropical Medicine and Infectious Disease, 4(3), 107. https://doi.org/10.3390/tropicalmed4030107
MarÃn-González, F., Moganadas, S. R., Paredes-ChacÃn, A. J., Yeo, S. F., & Subramaniam, S. (2022). Sustainable Local Development: Consolidated Framework for Cross-Sectoral Cooperation via a Systematic Approach. Sustainability, 14(11). https://doi.org/10.3390/su14116601
Mini, G. K., Mishra, S., Lordson, J., & Mohan, M. (2023). Exploring Problematizations Underlying Tuberculosis Control Strategies: A Cross-Country Analysis of India and Kenya. In Tuberculosis: Integrated Studies for a Complex Disease, 615–646. https://doi.org/10.1007/978-3-031-15955-8_28
Prakoso, D. A., Istiono, W., Mahendradhata, Y., & Arini, M. (2023). Acceptability and feasibility of tuberculosis-diabetes mellitus screening implementation in private primary care clinics in Yogyakarta, Indonesia: a qualitative study. BMC Public Health, 23(1), 1908. https://doi.org/10.1186/s12889-023-16840-z
Quang Vo, L. N., Forse, R. J., Tran, J., Dam, T., Driscoll, J., Codlin, A. J., Creswell, J., Sidney-Annerstedt, K., Van Truong, V., Thi Minh, H. D., Huu, L. N., Nguyen, H. B., & Nguyen, N. V. (2023). Economic evaluation of a community health worker model for tuberculosis care in Ho Chi Minh City, Viet Nam: a mixed-methods Social Return on Investment Analysis. BMC Public Health, 23(1), 945. https://doi.org/10.1186/s12889-023-15841-2
Son, H., Mok, J., Lee, M., Park, W., Kim, S., Lee, J., Choi, B. Y., & Kim, C. (2021). Status and Determinants of Treatment Outcomes Among New Tuberculosis Patients in South Korea: A Retrospective Cohort Study. Asia Pacific Journal of Public Health, 33(8), 907–913. https://doi.org/10.1177/10105395211000529
Sunjaya, D. K., Paskaria, C., Herawati, D. M. D., Pramayanti, M., Riani, R., & Parwati, I. (2022). Initiating a district-based public–private mix to overcome tuberculosis missing cases in Indonesia: readiness to engage. BMC Health Services Research, 22(1), 110. https://doi.org/10.1186/s12913-022-07506-4
World Health Organization. (2022). Integrated care for tuberculosis (TB) and diabetes mellitus (DM) comorbidity in asian countries: health system challenges and opportunities. Regional Office for South-East Asia. Retrieved from https://iris.who.int/handle/10665/360073
License
Copyright (c) 2023 Ni Wayan Restuti, I Gusti Mas Rwa Jayantiari, Ni Nengah Adiyaryani, Ani Susiani
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with Jurnal Penelitian Pendidikan IPA, agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License (CC-BY License). This license allows authors to use all articles, data sets, graphics, and appendices in data mining applications, search engines, web sites, blogs, and other platforms by providing an appropriate reference. The journal allows the author(s) to hold the copyright without restrictions and will retain publishing rights without restrictions.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Jurnal Penelitian Pendidikan IPA.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
